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INDONESIA
ISM (Intisari Sains Medis) : Jurnal Kedokteran
Published by Universitas Udayana
ISSN : 25033638     EISSN : -     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology
Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and Theory. We also publish cases from third world country, that is considered very rare and special cases.
Arjuna Subject : -
Articles 1,063 Documents
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Prevalensi dan gambaran karakteristik kejadian depresi pada pasien geriatri di Unit Pelayanan Terpadu (UPT) Kesehatan Masyarakat (Kesmas) Dawan I Klungkung, Bali, Indonesia Petrus Kanisius Yogi Hariyanto; Muhammad Faisal Putro Utomo; Ni Putu Chandra Paramita; Cok Gde Prema Kurnia Baswara; Putu Cintya Denny Yuliyatni
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.862 KB) | DOI: 10.15562/ism.v11i1.557

Abstract

Background: Elderly are those who already 60 years old or more. Elderly gave many impacts, some were positive, some are negative. Positive only if they are still productive and healthy, but there were also some negative impacts which cannot be ruled out, especially those who got illness and dysfunctions. Depression is one of the main contributors to elderly illness. This study aims to represent the depression status of elderly at UPT Kesmas Dawan I Klungkung, Bali, Indonesia. Methods: This cross-sectional study was involving 55 elder patients in UPT Kesmas Dawan I, Klungkung at the first week on June 2018. Sex, age, metabolic disease history, vision impairment, hearing impairment, and depression status by using the Geriatric Depression Scale (GDS) were included. Data were collected by interviewing the respondent. Those data were analyzed using SPSS version for Windows for the univariate and bivariate results.Results: From a total of 55 samples, 61.8% in males. Prevalence of depression is 45.5%. Prevalence of depressed elderly that have metabolic disease history is 84%, and those who have vision impairment is 88%. Lastly, those who have hearing impairment is 56%. Of the 25 people who were depressed, most of them were women (68.0%), had metabolic diseases (84.0%), vision problems (88.0%), and hearing loss (56.0%).Conclusion: In this study, almost half of the samples are on depression. Further investigation using other designs and study methods are needed to get better results.  Latar Belakang: Orang lanjut usia (lansia) adalah seseorang yang telah mencapai usia 60 tahun ke atas. Banyak dampak yang diberikan lansia terhadap kondisi suatu negara, baik negatif maupun positif. Positif apabila lansia tersebut masih dapat produktif dan sehat, namun dampak negatif juga tidak dapat dikesampingkan, terutama banyaknya lansia yang mengalami penurunan kesehatan. Depresi merupakan salah satu penyumbang angka kesakitan pada lansia. Penelitian ini bertujuan untuk menggambarkan status depresi pada lansia di UPT Kesmas Dawan I Klungkung, Bali, Indonesia.Metode: Penelitian potong-lintang ini melibatkan 55 pasien lansia di UPT Kesmas Dawan I, Klungkung pada minggu pertama bulan Juni 2018. Pengumpulan data mencakup jenis kelamin, usia, riwayat penyakit metabolik, gangguan penglihatan, gangguan pendengaran, dan status depresi menggunakan Geriatric Depression Scale (GDS). Data diperoleh melalui wawancara terhadap responden. Data dianalisis menggunakan SPSS versi 20 untuk Windows untuk hasil univariat dan bivariat.Hasil: Dari total 55 sampel, diperoleh 61,8% adalah laki-laki. Prevalensi pasien yang menderita depresi sebesar 45,5%. Prevalensi lansia dengan riwayat penyakit metabolik yang mengalami depresi sebesar 84,0%, sedangkan lansia dengan riwayat gangguan penglihatan sebesar 88,0%, dilanjutkan dengan gangguan pendengaran sebanyak 56,0%. Dari sebanyak 25 orang yang mengalami depresi, sebagian besar adalah perempuan (68,0%), memiliki penyakit metabolik (84,0%), gangguan penglihatan (88,0%), maupun gangguan pendengaran (56,0%).Kesimpulan: Pada penelitian ini tampak hampir setengah total sampel menderita depresi. Penelitian lebih lanjut menggunakan desain dan metode penelitian lain dibutuhkan untuk mendapatkan hasil yang lebih baik lagi.
Management of denture foreign body in esophagus with cervical esophagotomy: case report Kadek Yudi Fajar Mahendra; Ketut Putu Yasa
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (956.096 KB) | DOI: 10.15562/ism.v10i3.558

Abstract

Introduction: Impaction of dentures in the esophagus is a distressing experience for a patient and can lead to serious consequences, such as esophageal perforation. Patients with an impacted denture often present with a history of accidental swallowing, frequently during trauma, seizures, or sleep or in association with some degree of psychological dysfunction. The common signs and symptoms of an impacted denture are odynophagia, dysphagia, or simply pain and tenderness in the neck or chest.The preferred method of removal of esophageal foreign bodies is extraction with the flexible endoscope. Surgical removal is rarely indicated except in the event of perforation or other foreign body complications.In situations where this appears potentially hazardous, such as with impacted denture, open surgical extraction by cervical oesophagotomy is promptly performed is a safe option.Cases Report: The successful removal of impacted denture in the esophagus in a patient is reported, with a review of the literature. A women23-year-old  complained of dysphagia after swallowing his denture. Following unsuccessful attempts at removal via a rigid esophagoscope, open surgery was performed. Without further delay, the impacted denture was removed by cervical oesophagotomy, and the patient recovered uneventfully.Conclusion: The successful removal of impacted denture by cervical oesophagotomy in the esophagus in a patient is reported. We conclude that cervical esophagotomy is a safe method for removing foreign bodies impacted in the cervical esophagus when they cannot be removed endoscopically.
Relationship between cardiovascular fitness and academic achievement among medical students of Udayana University in batch 2018 Dashinnie Narasimhanaidu; I Nyoman Gede Wardana; I Nyoman Mangku Karmaya
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.277 KB) | DOI: 10.15562/ism.v11i3.559

Abstract

Background: Physical fitness especially cardiovascular fitness is one of the important factors in medical students’ academic achievement which has been neglected by majority of the students. Through cardiovascular fitness the stress level could be reduced which will eventually help the students to achieve better academic results.Aim: This study aims to determine the relationship between the cardiovascular fitness and academic achievements by medical students of Medical Faculty of Universitas Udayana from batch 2018.Method: An experimental survey method has been used identify the relationship between cardiovascular fitness level and academic achievement. Respondents who attended this study were 79 students from the batch 2018. The cardiovascular fitness level will be measured by Fartlek training which is conducted in medical faculty campus parking area. The students’ academic achievement will be measured through their 1st biomedic exam results. Then, the pulse rate collected from the Fartlek training and the academic achievement from exam was compared to identify the relationship the cardiovascular fitness and academic achievement.Results: The data was not normally distributed from the normality test. Spearman’s rho test shows that the data is not significant with the (p = -0.056).Conclusion: There was no significant relationship between the level of cardiovascular fitness and the academic achievement of the medical students.
Durasi penggunaan lensa kontak dengan resiko terjadinya keratitis: tinjauan pustaka Agnes Angela Mahdalena Simanjuntak
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1907.27 KB) | DOI: 10.15562/ism.v11i1.561

Abstract

Introduction: An increase in the incidence of refractive disorders provides an increasing need for visual aids such as glasses and contact lenses. The use of long-term contact lenses provides a new problem which is adana keratitis which can arise with prolonged use of contact lenses.Objective: The literature review this time aims to provide a review of how long the role of contact lens use is at risk for keratitis.Conclusion: Extended use of contact lenses can increase the risk for corneal keratitis. The choice of contact lens type characteristics and duration of use is a matter that should be observed to avoid the risk of keratitis. Pendahuluan: Peningkatan kejadian kelainan refraksi memberikan semakin tingginya kebutuhan akan alat penunjang pengelihatan seperti kaca mata dan lensa kontak. Adanya penggunaan lensa kontak jangka panjang memberikan suatu masalah baru yang yaitu adana keratitis yang dapat muncul dengan lama penggunaan lensa kontak.Tujuan: Tinjauan pustaka kali ini bertujuan untuk memberikan suatu ulasan mengenai bagaimana peranan penggunaan lensa kontak yang panjang terhadap risiko dari keratitis.Simpulan: Penggunaan lensa kontak secara extended dapat meningkatkan risiko untuk terjadi keratitis kornea. Pemilihan karakteristik jenis lensa kontak dan durasi penggunaan menjadi hal yang patut dicermati untuk menghindari risko keratitis.
Oklusi Vena Sentral Retina: Tinjauan Pustaka Ni Putu Ayu Reza Dhiyantari; Listya Dyah Rihardini
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1391.507 KB) | DOI: 10.15562/ism.v11i1.562

Abstract

Introduction: Central retinal vein occlusion is vascular eye disease commonly found at ophthalmologist daily practice and also responsible for a large percentage of blindness and eye morbidity. Early diagnosis and prompt treatment may elaborate the disease and slow down disease progression.Methods: Literature review was carried out, where studies were identified through searching the PubMed, Google Scholar and Proquest database using the keywords: “central retinal vein occlusion”, “anti-VEGF”, “intraocular corticosteroid”, “retinal imaging”, “macular oedema”. Inclusion criteria include any reviews on CRVO. Exclusion criteria was reviews which were published more than 10 years ago. From 75 reviewed journals, 55 journals were included. The literatures were then analysed systematically based on the results of previous studies.Results: CRVO can be diagnosed clinically based on anamnesis, general physical examination to evaluate risk factors related to the disease and also based on routine ophthalmologic examination. Advanced imaging modalities are useful mainly to evaluate severity of the disease, to choose treatment modalities and also to evaluate disease response to therapy. CRVO management has two main goals, namely (1) to identify major risk factor underlying the disease and control it, (2) to diagnose sight threatening complications of CRVO, such as macular oedema and neovascularisation and to manage them. Conclusion: Current CRVO treatment modalities includes anti-VEGF and corticosteroid implants have been extensively studied in big clinical trials and already proven clinically to treat CRVO related macular oedema. Pendahuluan: Oklusi vena sentral mata (central retinal vein occlusion/CRVO) merupakan penyakit vaskular mata yang sering dijumpai pada praktek sehari-hari dan bertanggung jawab atas sejumlah kebutaan dan morbiditas pada mata sehingga diagnosis dini dan penatalaksanaan yang tepat dapat meningkatkan keberhasilan terapi dan mencegah komplikasi lebih lanjutMetode: Metodologi penulisan yang digunakan adalah tinjauan pustaka. Sumber literatur terdiri dari jurnal-jurnal yang relevan dari search engine PubMed, Google Scholar dan Proquest. Kata kunci yang digunakan adalah “central retinal vein occlusion”, “anti-VEGF”, “kortikosteroid intraocular”, “pencitraan retina”, “edema makula”. Kriteria inklusi adalah semua tinjauan mengenai CRVO. Kriteria eksklusi adalah literatur yang diterbitkan lebih dari 10 tahun terakhir. Dari 75 jurnal yang ditinjau, 55 ditemukan cocok sebagai referensi untuk makalah ini. Informasi yang dikumpulkan dicatat dan dianalisis untuk validitas dan reliabilitas, ditafsirkan dan disusun menjadi satu kajian literatur ilmiah.Hasil: Diagnosis CRVO dapat ditegakkan secara klinis berdasarkan anamnesis, pemeriksaan fisik umum, serta pemeriksaan ophthalmologis rutin. Pemeriksaan pencitraan penunjang dibutuhkan terutama untuk menilai derajat keparahan penyakit, mempertimbangkan tindakan atau pengobatan, serta berguna dalam menilai respon terapi. Penatalaksanaan CRVO memiliki dua tujuan utama yaitu mengidentifikasi dan mengontrol faktor risiko mayor yang mencetuskan CRVO serta mendiagnosis dan menangani komplikasi yang mengancam penglihatan, terutama edema makula dan neovaskularisasi.Kesimpulan: Penatalaksanaan CRVO saat ini sudah mengalami perkembangan yang pesat dengan banyaknya modalitas baru termasuk anti-VEGF dan implant kortikosteroid yang telah terbukti secara klinis mampu mengobati edema makula terkait CRVO
Evaluation of fracture on children in orthopaedic and traumatology division in Dr. Wahidin Sudirohusodo Central General Hospital Makassar January 2016-December 2017 Robin Kurnia Wijaya; Muhammad Nasser Mustari
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.559 KB) | DOI: 10.15562/ism.v11i1.563

Abstract

Background: Fractures in children can be caused by a long term disability and decreasing quality of life in every people that involved. Factors that affect fractures incidences must be identified so that we can create prevention management. This study aims to evaluate the fractures pattern of children in orthopaedic and traumatology in dr. Wahidin Sudirohusodo Central General Hospital Makassar.Methods: A cross-sectional study was conducted among children under 19 years old by collecting a medical record of patients. The prevalence and patterns of fractures were reviewed for details, such sex, range of age, causes, place of injury, single or multiple fractures, types or location of single fracture, and treatment of fractures. Data were analysed using SPSS version 17 for Windows.Results: There were 152 children in the study, and 72.3% were boys. Most common occur at the 12-18 years age group (92.8%), most of them were caused by traffic accidents (73.6%). Consequently, the location in which fractures were most prevalent was the street (76.9%). Most of them were presented as a single fracture (72.3%) dominated by closed fracture (63.6%), while distal radius/ulna (12.7%) was the most common fracture sites in this study and most patients have undergone surgery for their treatment (84.8%).Conclusion: Most of the patients were boys and caused by traffic accidents. A single and close fracture were the most common types of fracture.
Relaksasi autogenik menurunkan keluhan gastritis pada orang dengan infeksi HIV-AIDS (ODHA) di RSUD Wangaya, Bali, Indonesia I Wayan Surasta; I Ketut Suardana; I Ketut Labir
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.338 KB) | DOI: 10.15562/ism.v11i1.564

Abstract

Background: The current society is demanded many obligations and responsibilities in daily life. This situation can affect the mental stress that leads to stress in facing many problems of life. Psychological stress has an impact on system disturbances in the digestive organs such as gastritis. People with HIV/AIDS (ODHA) are often faced with this condition, so one of the efforts that can be done is to do autogenic relaxation. This study aims to determine the differences in gastritis complaints of ODHA people before and after autogenic relaxation. Methods: A quasi-experimental study with pre-test and post-test without a control group was conducted among 21 respondents at Countermeasures AIDS at Badung Regency from May-September 2017. Variables assessed in this study were gender, type of works, marital status, the origin of respondents, and the symptoms of respondents before and after autogenic relaxation intervention. Data were analyzed using SPSS version 17 for Windows.Results: Most of ODHA patients were males (61.9%), followed by working as housewives (28.6%), marriage (81.0%), and living in North Kuta (28.6%). There was a significant difference in the average value of gastritis symptoms before (1.77) and after autogenic relaxation treatment (1.53) (p=0.002). Conclusion: Autogenic relaxation therapy can reduce the symptoms of gastritis among ODHA patients at Wangaya Hospital, Bali, Indonesia.  Latar belakang: Masyarakat saat ini dituntut dengan banyak kewajiban dan tanggung jawab dalam kehidupan sehari-hari. Keadaan ini akan berdampak pada tekanan mental yang mengarah pada stres dalam menghadapi banyak masalah kehidupan. Tekanan mental akan berdampak pada organ pencernaan seperti gastritis. Penderita HIV/AIDS (ODHA) kerap dihadapkan pada kondisi ini sehingga salah satu upaya yang dapat dilakukan adalah melakukan relaksasi autogenik. Penelitian ini bertujuan untuk mengetahui perbedaan keluhan gastritis pada ODHA sebelum dan sesudah relaksasi autogenik.Metode: Sebuah penelitian eksperimental-semu dengan pre-test dan post-test tanpa kelompok kontrol dilakukan terhadap 21 responden pada Penanggulangan AIDS di Kabupaten Badung dari Mei-September 2017. Variabel yang dinilai dalam penelitian ini adalah jenis kelamin, jenis pekerjaan, status perkawinan, asal responden, dan gejala responden sebelum dan sesudah intervensi relaksasi autogenik. Data dianalisis menggunakan SPSS versi 17 untuk Windows.Hasil: Sebagian besar pasien ODHA adalah laki-laki (61,9%), diikuti dengan bekerja sebagai ibu rumah tangga (28,6%), menikah (81,0%), dan tinggal di Kuta Utara (28,6%). Ada perbedaan yang bermakna dalam nilai rata-rata gejala gastritis sebelum (1,77) dan setelah perawatan relaksasi autogenik (1,53) (p = 0,002).Kesimpulan: Terapi relaksasi autogenik dapat mengurangi gejala grastritis di antara pasien ODHA di Rumah Sakit Wangaya, Bali, Indonesia.
The endoscopy profile of patients with Gastrointestinal Bleeding (GIB) at Klungkung Regional General Hospital, Bali, Indonesia during the 2014-2018 period I Gede Restu Mahendra Sugiarta; I Ketut Sumandi
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.424 KB) | DOI: 10.15562/ism.v11i1.565

Abstract

Background: Gastrointestinal Bleeding (GIB) is an emergency case that often found in the condition. In Indonesia, the prevalence of GIB in the population is still unknown. Endoscopy is an examination procedure that used to see abnormalities in gastrointestinal mucosa or lumen of GIT, which is a relatively safe procedure to determine the causal of GIB. This study aims to evaluate the endoscopy profile of patients with GIB at Klungkung Regional General Hospital, Bali, Indonesia during the 2014-2018 periodMethods: A descriptive cross-sectional study was conducted among the medical records of 410 patient’s register who underwent endoscopy due to GIB during 2014-2018 period using total sampling technique at Klungkung Regional General Hospital, Bali, Indonesia. Variables assessed in this study included the sociodemographic of patients, type of endoscopy, and the outcome of endoscopy procedure. Data were analyzed using SPSS version 21 for Windows.Results: The highest proportion based on age were in the age of 51-60 years-old (23.4%) group. Males were predominant in this study (57.1%) compared with females (42.9%). Based on the type of endoscopy, Esophagogastroduodenoscopy (EGD) examination was predominant (80.7%) compared with colonoscopy (19.3%). Superficial Gastritis was the most common findings (41.5%) from EGD, while colorectal tumours with suspected colorectal cancer and haemorrhoid (6.1%) were predominant in colonoscopy evaluation.Conclusion: The endoscopy profile found among patients with GIB at Klungkung Regional General Hospital, Bali, Indonesia was dominated by age 51-60 years-old group, males gender, EGD assessment, superficial Gastritis in EGD, and colorectal tumour in colonoscopy evaluation.
Procalcitonin (PCT) levels in pulmonary tuberculosis patients with acid fast bacilli positive and negative smear at Haji Adam Malik General Hospital, Medan, Indonesia Dina Fikry; Ricke Loesnihari; Parluhutan Siagian
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (350.767 KB) | DOI: 10.15562/ism.v11i1.566

Abstract

Background: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis which enters the droplet nuclei into the mouth or nasal passages to reach the pulmonary alveoli. The sputum smear examination for smear-positive and negative smear pulmonary tuberculosis is challenging due to requiring a longer time to get the results. Therefore, a specific marker is needed that is able to detect bacterial infections immediately, such as procalcitonin (PCT). This study aims to determine the levels of PCT in pulmonary tuberculosis patients with acid-fast bacilli positive and negative smear at Haji Adam Malik General Hospital, Medan, Indonesia.Method: A cross sectional was conducted among 40 pulmonary tuberculosis patients who met the inclusion and exclusion criteria at Haji Adam Malik General Hospital, Medan, Indonesia. The subjects were 20 positive smears and 20 negative smears. PCT examination with mini VIDAS BRAHMS was carried out using the Sandwich principle using the ELFA method (Enzyme-Linked Fluorescent Assay). Sputum examination was carried out by smear of Zhiel Neelsen smear, which was analyzed by the Mann-Whitney (Non-Parametric) test using SPSS version 17 for Windows. Results: Most of the respondents were males in both positive and negative smears group (65.0% and 70.0%, respectively) and not significantly different (P>0.05). The age of subjects was slightly older in positive smear (49.75 ± 17.993 years) compare with negative smear group (42.50 ± 14.816 years) but not statistically significant (P=0.172). The PCT levels in pulmonary tuberculosis patients with positive smear (0.1550; 21.65 ng/mL) differ significantly from the PCT levels in pulmonary tuberculosis patients with negative smear (0.05; 3.14 ng/mL) (p=0.0001). The cut off value using ROC found 0.06 ng/mL (AUC: 0.842) with a sensitivity of 80% and a specificity of 80%.Conclusion: There was a significant difference in the level of procalcitonin in patients with pulmonary tuberculosis who smear-positive and smear-negative.
Association between parents’ body height with stunting in children ages 1-5 years old in Nagi Primary Health Care Working Area Larantuka City, East Flores, Indonesia Wega Upendra Sindhughosa; I Made Arimbawa
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.328 KB) | DOI: 10.15562/ism.v11i1.567

Abstract

Background: Parents' body height is one factor associated with stunting incidence in the child. In under-five years old children, the body height is influenced by genetic factors and the environment during development periods. Short mothers are one of the factor that related to the incidence of stunting. This study aims to determine the associations of parents' body height with stunting in children age 1-5 years old in Nagi Primary Health Care working area, Larantuka City.  Methods: A cross-sectional study was conducted among 123 children age 1-5 years old who met the inclusion criteria were included in this study at Nagi Primary Health Care, Larantuka City. Data was taken from primary data and questionnaire distributed that consist of 3 main parts contains research sample characteristics, father's body height, and mother's body height. Chi-square is used to analyze the relationship between the father's body height and mother's body height with stunting. All of the data were analyzed using SPSS version 17 for Windows.Results: Most of the respondents were female (53.7%), followed by having a normal body height (67.5%), normal body weight (97.6%), >155 cm of mother's body height (65.0%), and >165 cm of father's body height (62.6%). In bivariate analysis, there is no relationship between father's body height with stunting (p>0.01), but statistically significant between mother's body height with stunting (p<0.01). In addition, a moderate positive correlation was found between Mid-Parental Height (MPH) with the children body weight (r=0.41; p=0.01).Conclusion: Mother's body height had a significant association with stunting incidence. In addition, the MPH also had a moderate positive correlation to the children body height.

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